Care in subsequent pregnancies following stillbirth: an international survey of parents

Autores
Wojcieszek, A.M.; Boyle, F.M.; Belizan, Jose; Cassidy, J; Cassidy, P; Erwich, J.J.H.M.; Farrales, L; Gross, MM; Heazell, A.E.P; Leisher, S.H.; Mills, T; Murphy, M; Pettersson, K; Ravaldi, C; Ruidiaz, J; Siassakos, D; Silver, R.M.; Storey, C; Vannacci, A; Middleton, P; Ellwood, D; Flenady, V
Año de publicación
2016
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
OBJECTIVE: To assess the frequency of additional care, and parents' perceptions of quality, respectful care, in pregnancies subsequent to stillbirth. DESIGN: Multi-language web-based survey. SETTING: International. POPULATION: A total of 2716 parents, from 40 high- and middle-income countries. METHODS: Data were obtained from a broader survey of parents' experiences following stillbirth. Data were analysed using descriptive statistics and stratified by geographic region. Subgroup analyses explored variation in additional care by gestational age at index stillbirth. MAIN OUTCOME MEASURES: Frequency of additional care, and perceptions of quality, respectful care. RESULTS: The majority (66%) of parents conceived their subsequent pregnancy within 1 year of stillbirth. Additional antenatal care visits and ultrasound scans were provided for 67% and 70% of all parents, respectively, although there was wide variation across geographic regions. Care addressing psychosocial needs was less frequently provided, such as additional visits to a bereavement counsellor (10%) and access to named care provider's phone number (27%). Compared with parents whose stillbirth occurred at ≤ 29 weeks of gestation, parents whose stillbirth occurred at ≥ 30 weeks of gestation were more likely to receive various forms of additional care, particularly the option for early delivery after 37 weeks. Around half (47-63%) of all parents felt that elements of quality, respectful care were consistently applied, such as spending enough time with parents and involving parents in decision-making. CONCLUSIONS: Greater attention is required to providing thoughtful, empathic and collaborative care in all pregnancies following stillbirth. Specific education and training for health professionals is needed.
Fil: Wojcieszek, A.M.. The University Of Queensland; Australia
Fil: Boyle, F.M.. The University Of Queensland; Australia
Fil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. International Stillbirth Alliance; Reino Unido. Instituto de Eficacia Clínica y Política de Salud; Argentina
Fil: Cassidy, J. International Stillbirth Alliance; Reino Unido. Umamanita; España
Fil: Cassidy, P. International Stillbirth Alliance; Reino Unido. Umamanita; España
Fil: Erwich, J.J.H.M.. International Stillbirth Alliance; Reino Unido. University of Groningen; Países Bajos
Fil: Farrales, L. International Stillbirth Alliance; Reino Unido. University of British Columbia; Canadá. Research and Support Society; Canadá
Fil: Gross, MM. International Stillbirth Alliance; Reino Unido. Hannover Medical School; Alemania. Universitat Zurich; Suiza
Fil: Heazell, A.E.P. International Stillbirth Alliance; Reino Unido. University of Manchester; Reino Unido. Manchester Academic Health Science Centre; Reino Unido
Fil: Leisher, S.H.. International Stillbirth Alliance; Reino Unido. The University Of Queensland; Australia
Fil: Mills, T. University of Manchester; Reino Unido
Fil: Murphy, M. International Stillbirth Alliance; Reino Unido. University College Cork; Irlanda
Fil: Pettersson, K. International Stillbirth Alliance; Reino Unido. Karolinska University; Suecia
Fil: Ravaldi, C. International Stillbirth Alliance; Reino Unido. Ciao Lapo Onlus; Italia
Fil: Ruidiaz, J. International Stillbirth Alliance; Reino Unido. Era en Abril; Argentina
Fil: Siassakos, D. International Stillbirth Alliance; Reino Unido. University of Bristol; Reino Unido
Fil: Silver, R.M.. International Stillbirth Alliance; Reino Unido. University of Utah; Estados Unidos
Fil: Storey, C. International Stillbirth Alliance; Reino Unido
Fil: Vannacci, A. International Stillbirth Alliance; Reino Unido. Ciao Lapo Onlus; Italia. University of Florence; Italia
Fil: Middleton, P. International Stillbirth Alliance; Reino Unido. South Australian Health and Medical Research Institute; Australia
Fil: Ellwood, D. International Stillbirth Alliance; Reino Unido. Griffith University and Gold Coast University ; Australia
Fil: Flenady, V. International Stillbirth Alliance; Reino Unido. University of Queensland; Australia
Materia
Stillbirth
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/47650

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spelling Care in subsequent pregnancies following stillbirth: an international survey of parentsWojcieszek, A.M.Boyle, F.M.Belizan, JoseCassidy, JCassidy, PErwich, J.J.H.M.Farrales, LGross, MMHeazell, A.E.PLeisher, S.H.Mills, TMurphy, MPettersson, KRavaldi, CRuidiaz, JSiassakos, DSilver, R.M.Storey, CVannacci, AMiddleton, PEllwood, DFlenady, VStillbirthhttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3OBJECTIVE: To assess the frequency of additional care, and parents' perceptions of quality, respectful care, in pregnancies subsequent to stillbirth. DESIGN: Multi-language web-based survey. SETTING: International. POPULATION: A total of 2716 parents, from 40 high- and middle-income countries. METHODS: Data were obtained from a broader survey of parents' experiences following stillbirth. Data were analysed using descriptive statistics and stratified by geographic region. Subgroup analyses explored variation in additional care by gestational age at index stillbirth. MAIN OUTCOME MEASURES: Frequency of additional care, and perceptions of quality, respectful care. RESULTS: The majority (66%) of parents conceived their subsequent pregnancy within 1 year of stillbirth. Additional antenatal care visits and ultrasound scans were provided for 67% and 70% of all parents, respectively, although there was wide variation across geographic regions. Care addressing psychosocial needs was less frequently provided, such as additional visits to a bereavement counsellor (10%) and access to named care provider's phone number (27%). Compared with parents whose stillbirth occurred at ≤ 29 weeks of gestation, parents whose stillbirth occurred at ≥ 30 weeks of gestation were more likely to receive various forms of additional care, particularly the option for early delivery after 37 weeks. Around half (47-63%) of all parents felt that elements of quality, respectful care were consistently applied, such as spending enough time with parents and involving parents in decision-making. CONCLUSIONS: Greater attention is required to providing thoughtful, empathic and collaborative care in all pregnancies following stillbirth. Specific education and training for health professionals is needed.Fil: Wojcieszek, A.M.. The University Of Queensland; AustraliaFil: Boyle, F.M.. The University Of Queensland; AustraliaFil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. International Stillbirth Alliance; Reino Unido. Instituto de Eficacia Clínica y Política de Salud; ArgentinaFil: Cassidy, J. International Stillbirth Alliance; Reino Unido. Umamanita; EspañaFil: Cassidy, P. International Stillbirth Alliance; Reino Unido. Umamanita; EspañaFil: Erwich, J.J.H.M.. International Stillbirth Alliance; Reino Unido. University of Groningen; Países BajosFil: Farrales, L. International Stillbirth Alliance; Reino Unido. University of British Columbia; Canadá. Research and Support Society; CanadáFil: Gross, MM. International Stillbirth Alliance; Reino Unido. Hannover Medical School; Alemania. Universitat Zurich; SuizaFil: Heazell, A.E.P. International Stillbirth Alliance; Reino Unido. University of Manchester; Reino Unido. Manchester Academic Health Science Centre; Reino UnidoFil: Leisher, S.H.. International Stillbirth Alliance; Reino Unido. The University Of Queensland; AustraliaFil: Mills, T. University of Manchester; Reino UnidoFil: Murphy, M. International Stillbirth Alliance; Reino Unido. University College Cork; IrlandaFil: Pettersson, K. International Stillbirth Alliance; Reino Unido. Karolinska University; SueciaFil: Ravaldi, C. International Stillbirth Alliance; Reino Unido. Ciao Lapo Onlus; ItaliaFil: Ruidiaz, J. International Stillbirth Alliance; Reino Unido. Era en Abril; ArgentinaFil: Siassakos, D. International Stillbirth Alliance; Reino Unido. University of Bristol; Reino UnidoFil: Silver, R.M.. International Stillbirth Alliance; Reino Unido. University of Utah; Estados UnidosFil: Storey, C. International Stillbirth Alliance; Reino UnidoFil: Vannacci, A. International Stillbirth Alliance; Reino Unido. Ciao Lapo Onlus; Italia. University of Florence; ItaliaFil: Middleton, P. International Stillbirth Alliance; Reino Unido. South Australian Health and Medical Research Institute; AustraliaFil: Ellwood, D. International Stillbirth Alliance; Reino Unido. Griffith University and Gold Coast University ; AustraliaFil: Flenady, V. International Stillbirth Alliance; Reino Unido. University of Queensland; AustraliaWiley Blackwell Publishing, Inc2016-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfhttp://hdl.handle.net/11336/47650Wojcieszek, A.M.; Boyle, F.M.; Belizan, Jose; Cassidy, J; Cassidy, P; et al.; Care in subsequent pregnancies following stillbirth: an international survey of parents; Wiley Blackwell Publishing, Inc; BJOG - An International Journal of Obstetrics and Gynaecology; 125; 2; 11-20161470-0328CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1111/1471-0528.14424info:eu-repo/semantics/altIdentifier/url/https://obgyn.onlinelibrary.wiley.com/doi/abs/10.1111/1471-0528.14424info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-15T15:17:28Zoai:ri.conicet.gov.ar:11336/47650instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-15 15:17:28.559CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Care in subsequent pregnancies following stillbirth: an international survey of parents
title Care in subsequent pregnancies following stillbirth: an international survey of parents
spellingShingle Care in subsequent pregnancies following stillbirth: an international survey of parents
Wojcieszek, A.M.
Stillbirth
title_short Care in subsequent pregnancies following stillbirth: an international survey of parents
title_full Care in subsequent pregnancies following stillbirth: an international survey of parents
title_fullStr Care in subsequent pregnancies following stillbirth: an international survey of parents
title_full_unstemmed Care in subsequent pregnancies following stillbirth: an international survey of parents
title_sort Care in subsequent pregnancies following stillbirth: an international survey of parents
dc.creator.none.fl_str_mv Wojcieszek, A.M.
Boyle, F.M.
Belizan, Jose
Cassidy, J
Cassidy, P
Erwich, J.J.H.M.
Farrales, L
Gross, MM
Heazell, A.E.P
Leisher, S.H.
Mills, T
Murphy, M
Pettersson, K
Ravaldi, C
Ruidiaz, J
Siassakos, D
Silver, R.M.
Storey, C
Vannacci, A
Middleton, P
Ellwood, D
Flenady, V
author Wojcieszek, A.M.
author_facet Wojcieszek, A.M.
Boyle, F.M.
Belizan, Jose
Cassidy, J
Cassidy, P
Erwich, J.J.H.M.
Farrales, L
Gross, MM
Heazell, A.E.P
Leisher, S.H.
Mills, T
Murphy, M
Pettersson, K
Ravaldi, C
Ruidiaz, J
Siassakos, D
Silver, R.M.
Storey, C
Vannacci, A
Middleton, P
Ellwood, D
Flenady, V
author_role author
author2 Boyle, F.M.
Belizan, Jose
Cassidy, J
Cassidy, P
Erwich, J.J.H.M.
Farrales, L
Gross, MM
Heazell, A.E.P
Leisher, S.H.
Mills, T
Murphy, M
Pettersson, K
Ravaldi, C
Ruidiaz, J
Siassakos, D
Silver, R.M.
Storey, C
Vannacci, A
Middleton, P
Ellwood, D
Flenady, V
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Stillbirth
topic Stillbirth
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv OBJECTIVE: To assess the frequency of additional care, and parents' perceptions of quality, respectful care, in pregnancies subsequent to stillbirth. DESIGN: Multi-language web-based survey. SETTING: International. POPULATION: A total of 2716 parents, from 40 high- and middle-income countries. METHODS: Data were obtained from a broader survey of parents' experiences following stillbirth. Data were analysed using descriptive statistics and stratified by geographic region. Subgroup analyses explored variation in additional care by gestational age at index stillbirth. MAIN OUTCOME MEASURES: Frequency of additional care, and perceptions of quality, respectful care. RESULTS: The majority (66%) of parents conceived their subsequent pregnancy within 1 year of stillbirth. Additional antenatal care visits and ultrasound scans were provided for 67% and 70% of all parents, respectively, although there was wide variation across geographic regions. Care addressing psychosocial needs was less frequently provided, such as additional visits to a bereavement counsellor (10%) and access to named care provider's phone number (27%). Compared with parents whose stillbirth occurred at ≤ 29 weeks of gestation, parents whose stillbirth occurred at ≥ 30 weeks of gestation were more likely to receive various forms of additional care, particularly the option for early delivery after 37 weeks. Around half (47-63%) of all parents felt that elements of quality, respectful care were consistently applied, such as spending enough time with parents and involving parents in decision-making. CONCLUSIONS: Greater attention is required to providing thoughtful, empathic and collaborative care in all pregnancies following stillbirth. Specific education and training for health professionals is needed.
Fil: Wojcieszek, A.M.. The University Of Queensland; Australia
Fil: Boyle, F.M.. The University Of Queensland; Australia
Fil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. International Stillbirth Alliance; Reino Unido. Instituto de Eficacia Clínica y Política de Salud; Argentina
Fil: Cassidy, J. International Stillbirth Alliance; Reino Unido. Umamanita; España
Fil: Cassidy, P. International Stillbirth Alliance; Reino Unido. Umamanita; España
Fil: Erwich, J.J.H.M.. International Stillbirth Alliance; Reino Unido. University of Groningen; Países Bajos
Fil: Farrales, L. International Stillbirth Alliance; Reino Unido. University of British Columbia; Canadá. Research and Support Society; Canadá
Fil: Gross, MM. International Stillbirth Alliance; Reino Unido. Hannover Medical School; Alemania. Universitat Zurich; Suiza
Fil: Heazell, A.E.P. International Stillbirth Alliance; Reino Unido. University of Manchester; Reino Unido. Manchester Academic Health Science Centre; Reino Unido
Fil: Leisher, S.H.. International Stillbirth Alliance; Reino Unido. The University Of Queensland; Australia
Fil: Mills, T. University of Manchester; Reino Unido
Fil: Murphy, M. International Stillbirth Alliance; Reino Unido. University College Cork; Irlanda
Fil: Pettersson, K. International Stillbirth Alliance; Reino Unido. Karolinska University; Suecia
Fil: Ravaldi, C. International Stillbirth Alliance; Reino Unido. Ciao Lapo Onlus; Italia
Fil: Ruidiaz, J. International Stillbirth Alliance; Reino Unido. Era en Abril; Argentina
Fil: Siassakos, D. International Stillbirth Alliance; Reino Unido. University of Bristol; Reino Unido
Fil: Silver, R.M.. International Stillbirth Alliance; Reino Unido. University of Utah; Estados Unidos
Fil: Storey, C. International Stillbirth Alliance; Reino Unido
Fil: Vannacci, A. International Stillbirth Alliance; Reino Unido. Ciao Lapo Onlus; Italia. University of Florence; Italia
Fil: Middleton, P. International Stillbirth Alliance; Reino Unido. South Australian Health and Medical Research Institute; Australia
Fil: Ellwood, D. International Stillbirth Alliance; Reino Unido. Griffith University and Gold Coast University ; Australia
Fil: Flenady, V. International Stillbirth Alliance; Reino Unido. University of Queensland; Australia
description OBJECTIVE: To assess the frequency of additional care, and parents' perceptions of quality, respectful care, in pregnancies subsequent to stillbirth. DESIGN: Multi-language web-based survey. SETTING: International. POPULATION: A total of 2716 parents, from 40 high- and middle-income countries. METHODS: Data were obtained from a broader survey of parents' experiences following stillbirth. Data were analysed using descriptive statistics and stratified by geographic region. Subgroup analyses explored variation in additional care by gestational age at index stillbirth. MAIN OUTCOME MEASURES: Frequency of additional care, and perceptions of quality, respectful care. RESULTS: The majority (66%) of parents conceived their subsequent pregnancy within 1 year of stillbirth. Additional antenatal care visits and ultrasound scans were provided for 67% and 70% of all parents, respectively, although there was wide variation across geographic regions. Care addressing psychosocial needs was less frequently provided, such as additional visits to a bereavement counsellor (10%) and access to named care provider's phone number (27%). Compared with parents whose stillbirth occurred at ≤ 29 weeks of gestation, parents whose stillbirth occurred at ≥ 30 weeks of gestation were more likely to receive various forms of additional care, particularly the option for early delivery after 37 weeks. Around half (47-63%) of all parents felt that elements of quality, respectful care were consistently applied, such as spending enough time with parents and involving parents in decision-making. CONCLUSIONS: Greater attention is required to providing thoughtful, empathic and collaborative care in all pregnancies following stillbirth. Specific education and training for health professionals is needed.
publishDate 2016
dc.date.none.fl_str_mv 2016-11
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/47650
Wojcieszek, A.M.; Boyle, F.M.; Belizan, Jose; Cassidy, J; Cassidy, P; et al.; Care in subsequent pregnancies following stillbirth: an international survey of parents; Wiley Blackwell Publishing, Inc; BJOG - An International Journal of Obstetrics and Gynaecology; 125; 2; 11-2016
1470-0328
CONICET Digital
CONICET
url http://hdl.handle.net/11336/47650
identifier_str_mv Wojcieszek, A.M.; Boyle, F.M.; Belizan, Jose; Cassidy, J; Cassidy, P; et al.; Care in subsequent pregnancies following stillbirth: an international survey of parents; Wiley Blackwell Publishing, Inc; BJOG - An International Journal of Obstetrics and Gynaecology; 125; 2; 11-2016
1470-0328
CONICET Digital
CONICET
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